了解护士在系统性抗癌治疗日间病房中的角色：定性研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing Pub Date : 2025-04-01 DOI:10.1016/j.soncn.2024.151720

Zhuming Bao , Jenny Harris , Verna Lavender , Anne Marie Rafferty , Jo Armes

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引用次数: 0

摘要

目的：随着患者数量的增加、系统性抗癌治疗的创新以及响应性门诊化疗系统的不断发展，SACT护士面临着越来越大的工作量挑战。这引起了人们对患者护理质量可能产生的影响的担忧，并对劳动力成果（例如，福利，员工保留）产生了影响。本研究旨在深入探讨SACT日间病房护士的角色和职责（如安全化疗管理、症状评估、信息提供、自我管理建议和心理社会支持）。方法对SACT护士进行定性、在线、半结构化访谈，采用主题分析法进行分析。结果共招募SACT日间护理人员15名。分析中出现了两个关键主题：“SACT日间病房护士的角色”和“影响SACT日间病房护士角色的因素”。“SACT日间病房护士的角色”主题包括四个不同的子主题：专科临床角色、非正式领导角色、促进工作角色和支持角色。主题为“影响SACT日间病房护士的因素”，包括劳动力短缺、工作超负荷、治疗延误以及缺乏认可和支持。结论这些主题提供了对影响SACT日间病房护士有效履行职责的责任和挑战的见解。通过详细介绍SACT日间单位提供的护理，本研究解决了目前关于SACT日间单位护士角色的研究差距。SACT日间病房护士的多重角色包括临床专业知识、领导能力、促进角色和癌症护理途径中的支持功能。了解这些角色和护士面临的挑战，如劳动力短缺和治疗延误，对于优化患者护理和解决护理人员在这一专业领域的福利和保留问题至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Understanding Nurses' Role in Systemic Anti-cancer Therapy Day Unit: A Qualitative Study

Objectives

Internationally systemic anti-cancer therapy (SACT) nurses are facing increasing workload challenges against the backdrop of rising patient numbers, innovations in systemic anti-cancer therapies and continued development of responsive outpatient chemotherapy systems. This raises concerns about the possible effects on the quality of patient care and has implications for workforce outcomes (e.g., wellbeing, staff retention). This study aims to explore in-depth aspects of SACT day unit nurses' work including their roles and responsibilities (e.g., safe chemotherapy administration, symptom assessment, information giving, self-management advice, and psychosocial support).

Methods

Qualitative, online, semi-structured interviews with SACT nurses which analysed using thematic analysis.

Results

15 SACT day unit nurses were recruited. Two key themes emerged from the analysis: ‘SACT day unit nurses' roles’ and ‘Factors affecting SACT day unit nurses' roles’. The theme ‘SACT day unit nurses' roles’ encompassed four distinct sub-themes: the specialist clinical role, informal leadership role, enabling work role and supportive role. The theme ‘Factors affecting SACT day unit nurses’ encompassed workforce shortages, work overload, treatment delays, and lack of recognition and support.

Conclusions

The themes provided insights into the responsibilities and challenges that impact SACT day unit nurses in fulfilling their roles effectively. By detailing the care provided within the SACT day units, this study addresses the current research gap pertaining to the roles of SACT day unit nurses.

Implications for Nursing Practice

The multifaceted roles of SACT day unit nurses encompasses clinical expertise, leadership capabilities, facilitative roles, and supportive functions within the cancer care pathway. Understanding these roles and the challenges nurses face, such as workforce shortages and treatment delays, is crucial for optimizing patient care and addressing the well-being and retention of nursing staff in this specialized field.

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来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.